Organization
NORTHWEST SURGICAL ASOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE BERGESON (MANGER)
(206) 542-7118
Entity
Organization
Contact information
Practice address
3104 SQUALICUM PKWY, BELLINGHAM, WA 98225-1941
(206) 542-7118
(206) 542-7338
Mailing address
3104 SQUALICUM PKWY, BELLINGHAM, WA 98225-1941
(206) 542-7118
(206) 542-7338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7850407
—
WA
Enumeration date
08/31/2007
Last updated
08/31/2007
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